Correlates of PrEP Uptake Among Young Sexual Minority Men and Transgender Women in New York City: The Need to Reframe "Risk" Messaging and Normalize Preventative Health

被引：19

作者：

Jaiswal, J. ^{[1
,2
,3
]}

LoSchiavo, C. ^{[3
,4
]}

Meanley, S. ^{[2
,5
]}

Hascher, K. ^{[1
]}

Cox, A. B. ^{[1
]}

Dunlap, K. B. ^{[1
]}

Singer, S. N. ^{[3
,6
]}

Halkitis, P. N. ^{[3
,4
]}

机构：

[1] Univ Alabama, Dept Hlth Sci, 115 Russell Hall,504 Univ Blvd, Tuscaloosa, AL 35401 USA

[2] Yale Univ, Sch Publ Hlth, Ctr Interdisciplinary Res AIDS, New Haven, CT 06510 USA

[3] Rutgers Sch Publ Hlth, Ctr Hlth Ident Behav & Prevent Studies CHIBPS, Newark, NJ 07102 USA

[4] Rutgers State Univ, Sch Publ Hlth, Piscataway, NJ 08854 USA

[5] Univ Penn, Dept Family & Community Hlth, Sch Nursing, Philadelphia, PA 19104 USA

[6] Rutgers State Univ, Grad Sch Appl & Profess Psychol, 152 Frelinghuysen Rd,Busch Campus, Piscataway, NJ 08854 USA

来源：

AIDS AND BEHAVIOR | 2021年 / 25卷 / 10期

关键词：

Sexual minority men; HIV prevention; HIV; PrEP; Health communication; PREEXPOSURE PROPHYLAXIS PREP; PRIMARY-CARE PROVIDERS; HIV PREVENTION; MEDICAL MISTRUST; TRANSMITTED INFECTIONS; CONSPIRACY BELIEFS; BLACK-MEN; GAY; AWARENESS; KNOWLEDGE;

D O I：

10.1007/s10461-021-03254-4

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Pre-exposure prophylaxis (PrEP) is an effective form of HIV prevention, but young sexual minority men face myriad barriers to PrEP uptake. Participants (n = 202) completed a survey on healthcare experiences and beliefs about HIV and PrEP. While 98% of the sample knew about PrEP, only 23.2% reported currently taking PrEP. Participants were more likely to be taking PrEP if they received PrEP information from a healthcare provider and endorsed STI-related risk compensation. Conversely, PrEP uptake was less likely among those with concerns about medication use and adherence. While there were no racial/ethnic differences in PrEP uptake, there were differences in correlates of PrEP use for White participants and participants of color. To facilitate PrEP uptake, clinicians should provide PrEP education and screen all patients for PrEP candidacy. Additionally, public health messaging must reframe HIV "risk", highlight benefits of STI testing, and emphasize the importance of preventive healthcare for SMM.

引用

页码：3057 / 3073

页数：17

共 94 条

[1] DEVELOPMENT OF THE TRUST IN PHYSICIAN SCALE - A MEASURE TO ASSESS INTERPERSONAL-TRUST IN PATIENT-PHYSICIAN RELATIONSHIPS [J].

ANDERSON, LA ;

DEDRICK, RF .

PSYCHOLOGICAL REPORTS, 1990, 67 (03) :1091-1100

[2]

[Anonymous], 2018, Diagnoses of HIV Infection in the United States and Dependent Areas

[3]

[Anonymous], 2018, HIV prevention pill not reaching most Americans who could benefit - especially people of color

[4] Worldwide burden of HIV in transgender women: a systematic review and meta-analysis [J].

Baral, Stefan D. ;

Poteat, Tonia ;

Stromdahl, Susanne ;

Wirtz, Andrea L. ;

Guadamuz, Thomas E. ;

Beyrer, Chris .

LANCET INFECTIOUS DISEASES, 2013, 13 (03) :214-222

[5] MSM at Highest Risk for HIV Acquisition Express Greatest Interest and Preference for Injectable Antiretroviral PrEP Compared to Daily, Oral Medication [J].

Biello, Katie B. ;

Mimiaga, Matthew J. ;

Santostefano, Christopher M. ;

Novak, David S. ;

Mayer, Kenneth H. .

AIDS AND BEHAVIOR, 2018, 22 (04) :1158-1164

[6] Knowledge is Power! Increased Provider Knowledge Scores Regarding Pre-exposure Prophylaxis (PrEP) are Associated with Higher Rates of PrEP Prescription and Future Intent to Prescribe PrEP [J].

Blumenthal, Jill ;

Jain, Sonia ;

Krakower, Douglas ;

Sun, Xiaoying ;

Young, Jason ;

Mayer, Kenneth ;

Haubrich, Richard .

AIDS AND BEHAVIOR, 2015, 19 (05) :802-810

[7] Coping with discrimination among HIV-positive Black men who have sex with men [J].

Bogart, Laura M. ;

Dale, Sannisha K. ;

Christian, Jana ;

Patel, Kinjal ;

Daffin, Gary K. ;

Mayer, Kenneth H. ;

Pantalone, David W. .

CULTURE HEALTH & SEXUALITY, 2017, 19 (07) :723-737

[8] Are HIV/AIDS conspiracy beliefs a barrier to HIV prevention among African Americans? [J].

Bogart, LM ;

Thorburn, S .

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2005, 38 (02) :213-218

[9] Persistent stigmatizing and negative perceptions of pre-exposure prophylaxis (PrEP) users: implications for PrEP adoption among Latino men who have sex with men [J].

Brooks, Ronald A. ;

Nieto, Omar ;

Landrian, Amanda ;

Donohoe, Thomas J. .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2019, 31 (04) :427-435

[10] Experiences of Anticipated and Enacted Pre-exposure Prophylaxis (PrEP) Stigma Among Latino MSM in Los Angeles [J].

Brooks, Ronald A. ;

Landrian, Amanda ;

Nieto, Omar ;

Fehrenbacher, Anne .

AIDS AND BEHAVIOR, 2019, 23 (07) :1964-1973

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